Provider Demographics
NPI:1710122486
Name:M.A.G. HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:M.A.G. HEALTH SERVICES INC.
Other - Org Name:COMFORT CONNECTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:ZAVALA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:512-392-4663
Mailing Address - Street 1:PO BOX 1556
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78667-1556
Mailing Address - Country:US
Mailing Address - Phone:512-392-4663
Mailing Address - Fax:512-398-4674
Practice Address - Street 1:2019 CLOVIS BARKER
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-9792
Practice Address - Country:US
Practice Address - Phone:512-392-4663
Practice Address - Fax:512-392-4674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009863251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherPRIVATE PAY AND LONG TERM CARE INSURANCE